Hisrorical evelotion and trends in nursing researchdeepakkv1991
AS AN NURSE THIS IS MY CONTRIBUTION TO ALL MY FELLOW NURSES SO THAT THEY GET AN OPPORTUNITY TO UNDERSTAND AND LEARN ABOUT THE HISTORICAL DEVELOPMENT OF NURSING AND FUTURE TRENDS IN NURSING.
Hisrorical evelotion and trends in nursing researchdeepakkv1991
AS AN NURSE THIS IS MY CONTRIBUTION TO ALL MY FELLOW NURSES SO THAT THEY GET AN OPPORTUNITY TO UNDERSTAND AND LEARN ABOUT THE HISTORICAL DEVELOPMENT OF NURSING AND FUTURE TRENDS IN NURSING.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
Development of conceptual framework in Nursing ResearchDhara Vyas
Conceptual Framework in Research
Conceptual framework: it is constructed by researcher’s own experience, previous research findings or conceps of theories and model
Conceptual Framework in Nursing Research
Developing Conceptual Framework
Types
Purposes
Health Belief Model
Health Promotional Model
Advantage of Conceptual Framework
Limitation of Conceptual Framework
Problems with the Framework
http://www.axuedu.com/ the most popular website for learning about the best known, International & Caribbean Medical Schools from pre-medical through residency and beyond
Slides prepared for beginners of nursing research or novice researchers. it will enhance and clear there basic understanding about using research designs.
Nursing research proposal topics you can use to find the best topics that suits your needs perfectly http://www.phdresearchproposal.org/nursing-research-proposal-topics/
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
Development of conceptual framework in Nursing ResearchDhara Vyas
Conceptual Framework in Research
Conceptual framework: it is constructed by researcher’s own experience, previous research findings or conceps of theories and model
Conceptual Framework in Nursing Research
Developing Conceptual Framework
Types
Purposes
Health Belief Model
Health Promotional Model
Advantage of Conceptual Framework
Limitation of Conceptual Framework
Problems with the Framework
http://www.axuedu.com/ the most popular website for learning about the best known, International & Caribbean Medical Schools from pre-medical through residency and beyond
Slides prepared for beginners of nursing research or novice researchers. it will enhance and clear there basic understanding about using research designs.
Nursing research proposal topics you can use to find the best topics that suits your needs perfectly http://www.phdresearchproposal.org/nursing-research-proposal-topics/
It is the process of transferring the research knowledge into practice, thus facilitating an innovative change in practice of protocols. Research utilization is the use of the findings from a disciplined study or a set of studies in a practical application that is unrelated to the original research.
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2. INTRODUCTION
In today's world research is an essential part
for the growth of any profession.
Research in Nursing is of great importance
because it help nurses make sound decision in
clinical setting; it helps to give evidence based
nursing care which is clinically appropriate, cost
effective and brings positive outcome in patient.
3. HISTORY
Nursing has been called the oldest of arts and
the youngest of professions.
Research in the nursing profession has not always
had the prominence and importance it enjoys
today, but it has an interesting history.
4. BEGINNING OF NURSING
RESEARCH
Research in nursing began with Florence
Nightingale with her landmark publication
“NOTES ON NURSING” - (1859)
It described her views in environmental factors
that promote physical and emotional well-being. Her
most widely known research contribution involved an
analysis of factors affecting soldier mortality and
morbidity during the Crimean War.
5.
6. EARLY RESEARCH
Most studies in the early 1900s concerned
nurses’ education.
Example:
In 1923, a group called Committee for the Study
of Nursing Education, studied the educational
preparation of nurse teachers and administrators and
the clinical experiences of nursing students.
7. NURSING RESEARCH
IN INDIA
Bhore Committee (1943) submitted a
report recommending the improvement of Nursing
Research and for sending nurses to abroad for
higher education.
194
6
8. NURSING RESEARCH
IN INDIAMs.Edith Buchanan, First Nurse
from India who was sent to Columbia University to
earn her Doctorate in Education (DEd) under a
WHO fellowship programme.
195
3
195
5
Ms.Margaretta Craig, attended
International Council of Nurses (ICN) meet in
France to present a paper on the need for nursing
research in India.
9. The First two years’ master degree
programme in nursing was started in New Delhi
with Nursing Research as a full subject with thesis
work on nursing topics.
196
0
196
3
A research was carried out by the Indian
Nursing Council on the Trends in Health Services in
the country and the syllabus of General Nursing and
Midwifery was revised.
196
4
Dr. Marie Ferguson with senior nursing
leaders of country conducted a research showing
importance of research in nursing practice,
administration, and education in India.
10. Trained Nurses Association of India
(TNAI) established a research section under the
guidance of Chairwoman Ms.Margareta Craig.
196
6
197
1
TNAI conducted research on the
socioeconomic status of nurses in India.
11. Dr. Marie Farrell & Dr. Aparna Bhaduri
conducted seminars on Nursing Research at Delhi,
Mussoorie (Uttarakhand) and Yercaud (Tamil Nadu)
to strengthen nursing research in India.
197
6
198
1
WHO published Dr.Farrell & Dr.Bhaduri’s
book “Health Research: A Community - Based Approach”
12. First National Conference in India on
Nursing Research titled “Nursing Research in India:
Prospect and Retrospect”
198
2
198
4
Nursing Research Workshop sponsored
by the University Grants Commission titled
Teaching Nursing Research to Nursing College
Teachers at Bangalore.
198
6
The Nursing Research Society of India
(NRSI) was established to promote Research Within
And Related To Nursing.
13. Nursing Research subject was introduced
in BSc Nursing curriculum by Indian Nursing
Council (INC).
INC recommends Nursing Research to be
followed by undergraduate and postgraduate levels
at ALL colleges of nursing in India.
PhD in Nursing was for the first time started in
College of Nursing, PGIMER, Punjab University
and Chandigarh
1986
14. NIMHANS started a Nursing Research
Section under the chairmanship Senior Nursing Tutor
of Mr R. Rajarathnam.
199
8
200
2
Indian Nursing Council Revised syllabus
for General Nursing and Midwifery Course (2002)
and Post-Basic BSc Nursing (2005) adding Nursing
Research as a full subject.
200
5
The National Consortium PhD Nursing
was constituted by Indian Nursing Council to
promote research activities in various of nursing.
15. Trained Nurses Association of India (TNAI)
formed the Central Institute of Nursing and
Research (CIN)
Indira Gandhi National Open University (IGNOU)
started PhD in Nursing.
200
9
201
1
Several nursing journals started like:
Indian Journal of Nursing Studies
Trends in Nursing Administration and Education
Indian Journal of Holistic Nursing
Indian Journal of Continuing Nursing Education
The Journal of Nursing Research, etc.
16. Nursing Research Society of India has
started an initiative to create a database of thesis
abstract for the nursing research conducted by the
nurses during their postgraduate and doctoral level
nursing education.
201
2
201
4
The first national Nursing PhD society
conference on “Revolutionizing the Nursing
Spectrum” was organised at Sri Ramachandra
College of Nursing, Porur.
Implementation of the Evidence Based
Guidelines by Nursing Research Society of India.
201
5
17. The number of nurses completing PhD in
Nursing is increasing exponentially year by year, and
this number will be doubled by 2020.
201
8
Nursing research continues to develop at a
rapid pace and will undoubtedly flourish in the
future. And the priority for nursing research in the
future will be the promotion of excellence in
nursing practices.
18. TRENDS TOWARDS THE
FUTURE
The future of nursing research will be to
promote excellence in nursing science and
practice. Future nurses will intensify their
research skills and use those skills to address
emerging issues of importance to the profession
and the patients.
19. MORE FOCUS ON EVIDENCE
BASED RESEARCH
Evidence-based research involves collecting,
evaluating and implementing evidence to improve
patient care and outcomes.
35. Mothers with infants having
sleep problems had double
chances of developing
postnatal depression.
A nurse developed a Sleep
Intervention Program and did
a randomized controlled trial -
(efficacy trial)
A larger effectiveness trial
was conducted with 92 nurses
delivering the intervention.
Government recommended the
intervention for all mothers during
8 month visit.
40. Problem: Treatment for itching in hospitalized patients?
Research: Compare two topical agents for quick reduction of
pruritus.
Problem: Does exercise improve mental health?
Research: Does an outdoor physical activity program improve
mental health status of adults with clinical depression?
Problem: Pet therapy with a dog for 5 year old autistic child.
Research: Does pet therapy provide benefits in social
interaction and learning in children with autistic disorders?
Example
42. 1) In some research, researchers from other disciplines
(e.g., statisticians, psychologists) are consulted or invited to
join nursing research teams, but the overall aims of the
research was cantered on the development of nursing
knowledge.
2) Ethical Problems In Paediatric Critical Care: This research
included researchers from: nursing, medicine, psychology,
and bioethics.
3) Pain in Child Health: Participating research disciplines
include: nursing, genetics, pharmacy, psychology,, medicine,
rehabilitation sciences and statistics.
Example
46. In UK, the government has
announced a group of 70
senior nurses and midwives
who are selected as
“Research Champions”
to gather intelligence on the
frontline.
- (3rd July 2018)
Example
47. In 29th Convocation of TN
Dr.MGR Medical University. The
Secretary of Department of Health
Research, said that Every Medical
and Nursing College in Tamil Nadu
should designate one sub-dean for
research to have a dedicated team
for research.
The central government is
planning to start at least 20 centers of
excellence in medical research.
Example
48. In Tamil Nadu,
at present there are
more than 87 Nurses
with Doctoral Degree
registered with the
State Nursing Council.
And several Nurses
pursuing PhD degrees
all over the state.
Example
49. The Tamil Nadu
State Nursing Council
has started providing
Research Grants of up to
Rs.50,000/- per grant,
spending around 5 Lakhs
each year to strengthen
Nursing Research in the
state.
Example
50. Nurse researchers are harnessing the
knowledge they acquire to inform evidence-based
practices. They are at the forefront carrying out
research work and play a key role in identifying
and improving quality of life for patients.
In the future nurses will be in the spotlight of
research innovations.
CONCLUSION
Editor's Notes
The committee issued the GOLDMARK REPORT which identified educational inadequacies and concluded that advanced educational preparation was essential in nursing.
Ms.Edith Buchanan, Vice Principal, Rajkumari Amrit Kaur (RAK) College of Nursing, New Delhi.
Ms.Margaretta Craig, Principal, College of Nursing, New Delhi.
1960: Clinical studies were even being carried out on short-term basis by the beginning-level postgraduate nursing students.
1964: Dr.Marie Ferguson, a public health nurse from New Delhi
1982: First National Conference and was held at College of Nursing, Bangalore
1984: This workshop was open to All Teachers of All The Nursing Colleges In India.
2011:
Increasing number of nurses started publishing their research work in these journals.
It helped nurses to disseminate the research evidences generated by them.
2015:
to help nurse researchers to overcome barriers to implementing evidence based practices.
Steps:
Formulate the research question based on issues of current practice.
2. Locate the best evidence to the research question.
3. Compare the available sources.
4. Apply synthesized evidence to create change in practice.
5. Evaluate new evidence and continue improvement.
Hospital-acquired infection is a common problem to hospitalized patients.
Nurses play a key role in helping to prevent illness before it happens
Adhering to evidence-based infection-control policies like:
keeping the healthcare environment clean,
wearing personal protective clothing,
using barrier precautions and practicing correct hand washing.
There is a belief that administering oxygen to COPD patients can create serious issues such as hypercarbia, acidosis or even death.
Evidence-based protocol developed to provide oxygen to COPD patients can help prevent hypoxia and organ failure.
Giving oxygen, which is the correct treatment based on the evidence, can enhance COPD patients’ quality of life and help them live longer.
Measuring children’s blood pressure involves auscultatory method, then comparing with oscillometric method.
Nurses should measure blood pressure according to evidence-based practice because accurate measurements are an essential part of effective treatment.
Nurses should follow EBP when using intravenous catheters to administer blood for packed red blood cell transfusions (PRBC).
Because new research and evidence become available on an ongoing basis, EBP must adapt to the latest evidence.
Often, old practices may need to change if new research overturns the principles behind them.
Evidence-based practice in nursing will continue to advance in the future.
Systematic reviews are a foundation of EBP and will continue to be importance in all health care disciplines.
The purpose of a systematic review is to accumulate and incorporate research information on a topic,
to draw conclusions about the evidence.
systematic review answers a research question by collecting and summarising ALL EMPIRICAL EVIDENCE that fits eligibility criteria.
Nurses are increasingly using systematic reviews to guide their practice and develop policy.
The steps of a systematic review include:
1. Formulating a well-defined question
2. Developing relevance and validity tools (Eligibility Criteria)
3. Conducting a comprehensive search to retrieve published and unpublished reports
4. Screening the reports using relevance and validity tools
5. Data extraction and Synthesis of the findings (Quality Assessment)
6. Presenting Findings
The use of meta-analysis in studies has been increasing exponentially in recent years.
This rapid development of meta-analysis is also related to the increasing use of evidence-based practice approaches.
A systematic review answers a defined research question by collecting and summarizing all empirical evidence that fits pre-specified eligibility criteria.
A meta-analysis uses statistical methods to summarize the results of these studies.
Most nurses and nursing researchers are not aware of every research finding.
Therefore, meta-analysis is a valid method of finding evidences researchers can have as a basis in solving health-related issues.
The term translational research usually refers to “from bench to bedside”
The end point of this type research is production of new interventions that can be used clinically or commercially.
Example:
In Cancer research:
Basic Research focuses on knowledge in cancer biology.
Clinical Research focuses on new treatment modalities.
Translational Research is a bridge between basic research and clinical research and even health decision making.
There are Four Steps:
T1 refers to the translation of basic research into a potential clinical application.
T2 refers to efficacy studies, in which new interventions are trialed under optimal conditions.
T3 refers to effectiveness studies, where promising phase 2 interventions are trialed in ‘real world’ settings;
T4 refers impact studies, which examine the impact of new intervention/guideline at population level.
T1: Nurse Identified Mothers with infants having sleep problems had double chances of developingpostnatal depression.
T2: A nurse developed a Sleep Intervention Program and did a randomized controlled trial - (efficacy trial)
T3: A larger effectiveness trial was conducted with 92 nurses delivering the intervention.
T4: Government recommended the intervention for all mothers during 8 month visit. And training for all Nurses to deliver the Sleep Intervention Program.
The study of Bergstrom and Braden to devise a tool to predict pressure-ulcer risk.
Led to the development of The Braden Scale for predicting pressure sore risk.
The Braden Scale became the “Gold Standard” for pressure ulcer risk assessment around the globe.
Translational research holds great promise for improving care of patients worldwide.
Nursing researchers are encouraged to take initiative to contribute to translational research.
Through conducting the same studies with different clients, in different clinical locations and at different times, ensures that the evidence is Strong.
Another confirmatory strategy is to conduct multisite studies by researchers in several locations.
Such multisite studies are at the rising trends in Nursing Research.
Multi-site studies of nursing personnel are challenging due to existing infrastructure and several barriers but they can be overcome with strong planning.
A multi-site, randomized clinical trial was conducted in 27 nursing homes. (In the US)
More than 900 patients participated in the study.
There was no significant difference between pressure ulcer formation and repositioning intervals.
There is a rising trend in an expansion of small, localized research to find solution to immediate problems.
Nurses are working in diverse healthcare settings come across several problems.
Nurses take up small research projects to solve problems to their local areas.
Such research work can be shared with nurses in other areas facing the same problems.
Nurses conduct such small and local research in their healthcare settings to find solutions to problems.
Nurses in other areas coming across same problems can try these solutions.
Such local researches are increasing and will continue in the future.
The rapid advancements of health care sector in the 21st century has been the result of on-going research and development.
This interdisciplinary collaboration of nurses with other researchers in the healthcare field is an increasing trend.
Interdisciplinary collaboration is widely recognized and considered essential for optimizing the development of knowledge and practice.
Such partnership could lead to nurse researchers playing a more prominent part in national and international healthcare policies.
There are more than hundreds of Nursing Journals available today, which nurses can use to disseminate their Research Findings.
Universities are developing databases to maintain the research work of post graduate and doctoral nurses.
There are several Online Nursing Journals which have a great impact on disseminating research information.
The new generation nurses of today know very well to use the internet.
And Nurses can publish their research findings free of cost on the several free online journals.
As technology advances there will be increased dissemination of research findings in the future.
In the past most people were not aware that nurses are scholars and researchers.
But with the increase in the number of nurses doing post-graduation and doctoral programs, more research is generated.
In recent times nurse’s research works are being recognized and many and nurses innovations are coming to visibility of the public.
So in UK even the government has recognised Nurses Research Work to title them “Research Champions”
This has come in the news this month.